确定乳腺癌的 Notch 转录组特征。

IF 7.4 1区 医学 Q1 Medicine
Eike-Benjamin Braune, Felix Geist, Xiaojia Tang, Krishna Kalari, Judy Boughey, Liewei Wang, Roberto A Leon-Ferre, Antonino B D'Assoro, James N Ingle, Matthew P Goetz, Julian Kreis, Kang Wang, Theodoros Foukakis, Anita Seshire, Dirk Wienke, Urban Lendahl
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引用次数: 0

摘要

背景:失调的Notch信号导致了乳腺癌的发生和发展,但目前还缺乏有效的工具来测量乳腺癌亚型中的Notch信号水平以及对系统疗法的反应。有必要建立 Notch 信号的转录组特征,例如用于监测未来 Notch 靶向疗法的效果,以及了解 Notch 信号的改变是否是当前乳腺癌疗法的脱靶效应。在本报告中,我们建立了这样一个分类器:为了生成该特征,我们首先通过在固定的Notch配体Jagged1上培养或用γ-分泌酶抑制剂阻断Notch,从六个基底样乳腺癌细胞系中鉴定出Notch调节基因。我们从这批 Notch 调节基因中开发了候选转录组特征,并在乳腺癌患者数据集(TCGA-BRCA 队列)和更广泛的乳腺癌细胞系队列中进行了训练,试图在独立数据集中进行验证:结果:选出了一个最佳的 20 个基因转录组特征。我们在两个独立的患者数据集(METABRIC 和 Oslo2)上对该特征进行了验证,与之前发表的特征相比,它的一致性得分和肿瘤特异性都有所提高。此外,基底样乳腺癌的特征得分特别高,表明这种亚型的 Notch 信号水平更高。在PROMIX和BEAUTY患者队列中,新辅助治疗后特征得分增加,较低的特征得分通常与较好的临床结果相关:20个基因转录特征将成为评估未来Notch靶向疗法对乳腺癌的反应、了解传统乳腺癌疗法对Notch信号的潜在影响以及更好地对患者进行分层治疗的重要工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Identification of a Notch transcriptomic signature for breast cancer.

Background: Dysregulated Notch signalling contributes to breast cancer development and progression, but validated tools to measure the level of Notch signalling in breast cancer subtypes and in response to systemic therapy are largely lacking. A transcriptomic signature of Notch signalling would be warranted, for example to monitor the effects of future Notch-targeting therapies and to learn whether altered Notch signalling is an off-target effect of current breast cancer therapies. In this report, we have established such a classifier.

Methods: To generate the signature, we first identified Notch-regulated genes from six basal-like breast cancer cell lines subjected to elevated or reduced Notch signalling by culturing on immobilized Notch ligand Jagged1 or blockade of Notch by γ-secretase inhibitors, respectively. From this cadre of Notch-regulated genes, we developed candidate transcriptomic signatures that were trained on a breast cancer patient dataset (the TCGA-BRCA cohort) and a broader breast cancer cell line cohort and sought to validate in independent datasets.

Results: An optimal 20-gene transcriptomic signature was selected. We validated the signature on two independent patient datasets (METABRIC and Oslo2), and it showed an improved coherence score and tumour specificity compared with previously published signatures. Furthermore, the signature score was particularly high for basal-like breast cancer, indicating an enhanced level of Notch signalling in this subtype. The signature score was increased after neoadjuvant treatment in the PROMIX and BEAUTY patient cohorts, and a lower signature score generally correlated with better clinical outcome.

Conclusions: The 20-gene transcriptional signature will be a valuable tool to evaluate the response of future Notch-targeting therapies for breast cancer, to learn about potential effects on Notch signalling from conventional breast cancer therapies and to better stratify patients for therapy considerations.

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来源期刊
CiteScore
12.00
自引率
0.00%
发文量
76
审稿时长
12 weeks
期刊介绍: Breast Cancer Research, an international, peer-reviewed online journal, publishes original research, reviews, editorials, and reports. It features open-access research articles of exceptional interest across all areas of biology and medicine relevant to breast cancer. This includes normal mammary gland biology, with a special emphasis on the genetic, biochemical, and cellular basis of breast cancer. In addition to basic research, the journal covers preclinical, translational, and clinical studies with a biological basis, including Phase I and Phase II trials.
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